Healthcare Provider Details

I. General information

NPI: 1225995970
Provider Name (Legal Business Name): TAYLOR LAUREN MOSEY CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1794 E 172ND ST
BRONX NY
10472-1936
US

IV. Provider business mailing address

271 S BROADWAY APT B
TARRYTOWN NY
10591-5331
US

V. Phone/Fax

Practice location:
  • Phone: 914-703-1780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number036325-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: